Cost Ratios, Staffing Ratios, and Practice Staff by State and Practice
| Outcome | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Utah practices | A | B | C | D | E | F | G | H | Mean |
| Cost ratios | |||||||||
| Cost per clinician FTE, $ | 8,366 | 5,001 | 8,568 | 9,066 | 7,247 | 8,423 | 5,079 | 5,176 | 7,698 |
| Cost per encounter, $ | 30.04 | 30.36 | 33.01 | 31.86 | 30.31 | 74.02 | 25.72 | 23.83 | 32.71 |
| Cost PMPM, $ | 5.02 | 2.50 | 4.40 | 4.05 | 3.65 | 4.21 | 3.06 | 2.59 | 3.85 |
| Staffing ratios | |||||||||
| MA per physician FTE | 2.35 | 1.35 | 1.71 | 2.33 | 3.24 | 1.81 | 1.94 | 2.52 | 2.16 |
| Other staff per physician FTE | 1.15 | 0.64 | 1.19 | 1.62 | 0.95 | 0.73 | 0.42 | 0.98 | 0.96 |
| NP or PA per physician FTE | 0.34 | 0.11 | 0.08 | 0.33 | 0.61 | 0.08 | 0.48 | 0.14 | 0.27 |
| Practice staff | |||||||||
| Physician FTE | 8.7 | 9.3 | 6.3 | 11.2 | 4.5 | 12.4 | 8.5 | 7.2 | 8.5 |
| NP and PA FTE | 3.0 | 1.0 | 0.5 | 3.7 | 2.8 | 1.0 | 4.1 | 1.0 | 2.1 |
| Resident FTE | 0 | 3.6 | 0 | 0 | 0 | 0 | 3.6 | 0 | 0.9 |
| Nurse (PRN or manager) FTE | 2.0 | 2.0 | 1.0 | 5.3 | 1.0 | 4.0 | 2.5 | 1.0 | 2.5 |
| MA FTE | 22.6 | 12.6 | 10.8 | 26.0 | 14.6 | 22.5 | 16.5 | 18.0 | 17.7 |
| Care manager FTE | 1.0 | 1.0 | 1.0 | 2.0 | 1.0 | 1.0 | 1.0 | 1.0 | 1.1 |
| Other support staff FTE | 10.0 | 4.0 | 6.0 | 14.5 | 5.0 | 5.0 | 4.2 | 6.0 | 6.8 |
| Colorado practices | A | B | C | D | E | F | G | H | Mean |
| Cost ratios | |||||||||
| Cost per clinician FTE, $ | 7,529 | 5,437 | 13,055 | 10,190 | 13,929 | 9,295 | 6,558 | 7,464 | 9,658 |
| Cost per encounter, $ | 34.12 | 19.65 | 50.06 | 36.32 | 59.34 | 37.18 | 23.57 | 19.04 | 36.68 |
| Cost PMPM, $ | 3.80 | 2.71 | 6.08 | 4.96 | 6.96 | 4.65 | 3.28 | 3.73 | 4.83 |
| Staffing ratios | |||||||||
| MA per physician FTE | 2.00 | 1.76 | 3.16 | 1.67 | 4.98 | 3.08 | 4.00 | 3.00 | 2.96 |
| Other staff per physician FTE | 3.25 | 1.50 | 8.97 | 2.97 | 3.85 | 2.13 | 1.72 | 2.92 | 3.41 |
| NP or PA per physician FTE | 1.50 | 0.63 | 1.02 | 0.20 | 1.30 | 0.46 | 2.60 | 1.65 | 1.17 |
| Practice staffa | |||||||||
| Physician FTE | 2.0 | 8.0 | 22.5 | 3.0 | 3.0 | 1.3 | 1.5 | 2.0 | 3.6 |
| NP and PA FTE | 3.0 | 5.0 | 23.0 | 0.6 | 4.0 | 0.6 | 4.0 | 3.3 | 3.7 |
| Resident FTE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Nurse (PRN or manager) FTE | 0 | 4.6 | 21.0 | 0 | 0 | 0 | 0 | 0 | 2.1 |
| MA FTE | 4.0 | 14.0 | 71.0 | 5.0 | 15.0 | 4.0 | 6.0 | 6.0 | 10.4 |
| Care manager FTE | 1.0 | 0 | 21.0 | 1.0 | 1.0 | 0.4 | 0 | 1.0 | 2.1 |
| Other support staff FTE | 8.5 | 12.4 | 205.5 | 8.5 | 14.5 | 3.0 | 6.6 | 8.0 | 22.3 |
FTE = full-time equivalent; MA = medical assistant; NP = nurse practitioner; PA = physician assistant; PMPM = per member per month; PRN = pro re nata.
↵a Weighted means.
Note: Key cost and staffing ratios are presented for individual study practices with averages calculated for each state. Numbers of staff by category are presented by practice with averages calculated for each state. Clinicians include physicians, residents, nurse practitioners, and physician assistants. Other support staff include nurses, nurse managers, care managers, front desk staff, call center staff, information technology developers, and dieticians.